Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 2003032173 | MO |
NPI | 1003022757 |
---|---|
Provider Name | Mrs. Kerry Sue Christifano |
First Address | Leawood, KS 66224-3761 |
Second Address | Kansas City, MO 64114-3357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 08/07/2007 |